Provider Demographics
NPI:1730298092
Name:INSIGHT RECOVERY CENTER
Entity Type:Organization
Organization Name:INSIGHT RECOVERY CENTER
Other - Org Name:INSIGHT IN SHIAWASSEE COUNTY
Other - Org Type:Other Name
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:
Authorized Official - Last Name:DREYER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:810-744-3600
Mailing Address - Street 1:1110 ELDON BAKER DR
Mailing Address - Street 2:
Mailing Address - City:FLINT
Mailing Address - State:MI
Mailing Address - Zip Code:48507-1923
Mailing Address - Country:US
Mailing Address - Phone:810-744-3600
Mailing Address - Fax:
Practice Address - Street 1:110 E MACK ST
Practice Address - Street 2:
Practice Address - City:CORUNNA
Practice Address - State:MI
Practice Address - Zip Code:48817-1459
Practice Address - Country:US
Practice Address - Phone:517-371-4971
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-30
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI780039101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Multi-Specialty